MANCEL WAKHAM, DO
NPI 1003319237
Family Medicine in Harriman, TN

Q: What is Summit Medical Group, PLLC's NPI number?

The NPI number for Summit Medical Group, PLLC is 1003319237. It was assigned to this organization in the NPPES registry on March 14, 2018. The provider is doing business as Mancel Wakham, Do.

Q: What is Summit Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 14, 2018CLIA 44D0921927 · Accreditation

2497 S ROANE ST STE 110, HARRIMAN, TN 37748(865) 647-3575 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2022, Mar 14, 2018 (2 updates tracked since 2018).

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About Mancel Wakham, Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANCEL WAKHAM, DO (NPI 1003319237) is a healthcare organization registered as a family medicine in Harriman, Tennessee and active in the NPI registry since March 2018. The organization holds an CLIA Accreditation certificate valid through February 4, 2027 and lists Ed Curtis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003319237

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUMMIT MEDICAL GROUP, PLLC

Location Address2497 S ROANE ST STE 110Harriman, TN 37748-8666

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 584-1363

Phone(865) 647-3575

Organization SubpartNo

Authorized OfficialEd CurtisCeo · (865) 584-4747

Enumeration DateMarch 14, 2018

Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration

NPPES CertifiedDecember 27, 2022

✔ NPI 1003319237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2497 S ROANE ST STE 110, Harriman, TN 37748

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Other Names 1

Doing Business AsMancel Wakham, Do

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 44D0921927

Summit Medical Group Central Lab · Knoxville, TN

Active · expires Feb 4, 2027

CLIA Number44D0921927

Laboratory TypePhysician Office

Certificate Effective DateFebruary 5, 2025

Certificate Expiration DateFebruary 4, 2027

Laboratory DirectorDr. Ariana C. Holley

Laboratory Phone(423) 588-0236

Laboratory LocationSummit Medical Group Central Lab1267 Dick Lonas Rd, Suite 100, Knoxville, TN 37909

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH MARIE KING FNP

Nurse Practitioner (Family)